van der Vorm E R, Groenendijk E H
Martini Ziekenhuis, afd. Infectiepreventie, Groningen.
Ned Tijdschr Geneeskd. 2003 May 31;147(22):1079-81.
Two hospital staff, women aged 20 and 22 years, were inadvertently found to be positive for methicillin-resistant Staphylococcus aureus (MRSA). Both had been in a hospital outside of the Netherlands, but due to the long period of time that had elapsed since then, they did not fall under the standard protocol for MRSA screening. After the usual wash procedure with chlorhexidine and mupirocin nasal ointment treatment, they remained positive for MRSA in the throat culture. Both patients still had their pharyngeal tonsils and were suffering from throat complaints. After systemic treatment with two antibiotics, they both became MRSA-free. Throat carriership of MRSA might be a reason why MRSA eradication fails in the case of apparently healthy healthcare workers. The addition of a throat culture to the screening of healthcare workers would therefore be useful.
两名医院工作人员，分别为20岁和22岁的女性，被意外发现对耐甲氧西林金黄色葡萄球菌（MRSA）检测呈阳性。她们都曾在荷兰境外的一家医院，但由于自那时起已经过去了很长时间，她们不符合MRSA筛查的标准方案。在用氯己定进行常规清洗程序并使用莫匹罗星鼻软膏治疗后，她们的咽喉培养物中MRSA仍呈阳性。两名患者仍保留咽扁桃体，且有咽喉不适症状。在使用两种抗生素进行全身治疗后，她们都不再携带MRSA。对于看似健康的医护人员，MRSA在咽喉部携带可能是MRSA根除失败的一个原因。因此，在医护人员筛查中增加咽喉培养将是有用的。
